Can we improve epilepsy outcomes by bringing care closer to home? A cluster randomized trial compared home care with community health workers to standard clinic care.

ILAE spoke with Dr. Gagandeep Singh and Dr. Meenakshi Sharma, authors of the study publication, which was published in Epilepsia Open.

Twenty-four clusters, each comprising 10 people with epilepsy, were randomized to either home-based or clinic care. Home-care recipients had better medication adherence and fewer seizures, compared with clinic-care recipients. Significantly more people from clinic care (37%) than home care (19%) exited the trial (P = 0.003).

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